Since the beginning of the Covid-19 pandemic, we’ve seen society adapt to virtual settings for nearly everything.
Of course, there will always be a debate on if virtual environments are better or worse for working, socializing, or even grocery shopping, but how does a virtual society interview medical students? Better yet, how can medical students truly vet the programs they’re applying for without seeing them in person?
On this episode of Dentist Brain Candy, I discuss a few more interesting studies from the February 2022 edition of the Journal of Oral and Maxillofacial Surgery. First, a study written by Kai Codner explores the way that Covid-19 has introduced virtual interviews for new surgical residents and the pros and cons of both virtual and in-person interview programs.
The second article, written by Catherine Haviland, expands on this same topic and finds that virtual externship programs may have more benefits than an in-person internship program.
Listen in as I continue sharing a few chapters of the book Limitless by Jim Kwik. In these chapters, we uncover helpful tips for goal setting and a list of the ten best foods for your brain.
The findings of a study on how Covid-19 changed the interview process for new surgical residents by introducing virtual interviews
My thoughts on how to expand the residency interview process so applicants can avoid unnecessary travel, but also get an accurate sense of the program’s culture virtually
Why a recent study found that virtual externship programs may have more benefits than an in-person internship program
Why our purpose for action must be clear in order to generate significant energy
How to set SMART goals: specific, measurable, actionable, realistic, and time-based
How to make your goals fit with your emotions by setting HEART goals: healthy, enduring, alluring, relevant, and truth
How passion differs from purpose and where to find both
Jim Kwik’s list of ten most powerful brain foods
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Dentist Brain Candy Continuing Education
Email bryanmclelland@hotmail.com
Call (509) 922-2273
Start With Why: How Great Leaders Inspire Everyone to Take Action by Simon Sinek
Limitless: Upgrade Your Brain, Learn Anything Faster, and Unlock Your Exceptional Life by Jim Quick
Are you struggling with news overload
Information about topics like COVID, politics, and war flood our feeds and inboxes, but not everything that is being communicated to us is the truth. That is why being able to think for ourselves is such a critical skill.
So, how can we get better at detecting “BS”?
On this episode of Dentist Brain Candy, I cover two thought-provoking articles from the February 2022 edition of the Journal of Oral and Maxillofacial Surgery. The first one by Jeffrey C. Posnick, DMD, MD looks at what is needed to separate fact from fiction in this age of information overload. I think you will find this article both timely and helpful.
I also discuss an article by Cameron Lee et al. that shares the findings from a study on the relationship between serum albumin and adverse outcomes in patients undergoing operative repair of maxillofacial fractures.
I also continue our discussion of the book, Limitless by Jim Kwik. Today I’m discussing Chapter 6: “The 7 Lies of Learning.” In this chapter, Kwik talks about what makes up intelligence and how the idea of fixed intelligence is a lie. Listen for more.
How to tell if your “BS” detector is getting rusty
Why being able to think for yourself is crucial in our information-overloaded culture
How a lack of knowledge can affect a clinician's actions and reactions
Which patients are most likely to have extended hospital stays after maxillofacial trauma repair
How nutrition optimization can improve maxillofacial trauma repair outcomes
Why a growth mindset is essential for developing intelligence
Why knowledge without application is hollow
The truth behind the myth that genius is born
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Dentist Brain Candy Continuing Education
Email bryanmclelland@hotmail.com
Call (509) 922-2273
Liberty Hair Restoration Center
Dr. Bryan McLelland Hair Transplant Results
Journal of Oral and Maxillofacial Surgery Issue 2 February 2022
Is Your “BS” Detector Getting Rusty
Limitless: Upgrade Your Brain, Learn Anything Faster, and Unlock Your Exceptional Life by Jim Quick
It’s been proven that both positive and negative thinking have effects on our mental, emotional, and physical health.
It can be hard to be the cheerleaders in our own lives, but it’s true that positive emotions broaden our attention and thinking, seed human flourishing, and trigger upward spirals towards greater well-being.
The book Limitless by Jim Kwik is all about “limiting beliefs” and how they might be holding us back from achieving our biggest dreams.
On this episode of Dentist Brain Candy, I dive into the Limitless book and discuss the article Robotic Assisted Drilling Systems and Prosthetically-Driven Implant Rehabilitation: The Present and Future? Robotic assisted drilling systems (RADS) are cutting-edge and very interesting. I share my thoughts on how they could create breakthroughs in dental surgery and also cause potential complications.
I also cover a 2021 study on if platelet-rich fibrin (PRF) prevents hemorrhagic complications after dental extractions on anticoagulated patients.
Listen in to learn more on how PRF and RADS are being studied, as well as why it is so important to minimize our “limiting beliefs” and prioritize positive self-talk.
The details of a study on PRF preventing hemorrhagic complications, as the number of dental extractions and minor surgical procedures has increased significantly in anticoagulated patients.
Why I use extractions and local measure for anticoagulated patients, rather than PRF or Thrombin Topical
How robotic assisted drilling systems (RADS) work and how they may shift oral maxillofacial surgeries in the near future
The background of Jim Kwik’s book, Limitless, and the key to unlearning limiting beliefs and false assumptions
Why negative self-talk is harmful and how both positive and negative thinking have been proven to impact health
Jim Kwik’s four different types of genius and how they show up in our lives
Jim Kwik’s three keys for minimizing limiting beliefs
Dentist Brain Candy on Facebook
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Dentist Brain Candy Continuing Education
Email bryanmclelland@hotmail.com
Call (509) 922-2273
Limitless: Upgrade Your Brain, Learn Anything Faster, and Unlock Your Exceptional Life by Jim Quick
On this episode of Dentist Brain Candy, I cover two articles from the Journal of Oral and Maxillofacial Surgery on the treatment of osteonecrosis of the jaw (ONJ). The first one delves into a new treatment option for medication-related osteonecrosis of the jaw while the second one explores the risk factors involved in recurrence and treatment outcomes. Plus, I also share what I’ve found to be helpful for patients who present with dizziness when taking Pentoxifylline.
I also share a useful article from the Journal of Oral and Maxillofacial Surgery about inflammatory complications from the management of mandible fractures and if there is a difference in occurrence based on whether the procedure was performed in an outpatient vs. inpatient setting.
And finally, the last article I discuss delves into the outcome of weekend vs. weekday treatment in odontogenic infection severity.
Listen, as I also continue our discussion of the book, Limitless by Jim Kwik and a closer look at how multitasking stunts growth.
Postoperative inflammatory complications in inpatient vs. outpatient treatment of mandible fractures
Encouraging results in the treatment of osteonecrosis of the jaw
Treating osteonecrosis of the jaw in patients who do not tolerate Pentoxifylline
How a dosing adjustment might lead to Pentoxifylline tolerance
Why the treatment of medication-related osteonecrosis is so challenging for surgeons
The outcome of weekend vs. weekday treatment in odontogenic infection severity
Forgetting what you already know is the key to learning something new
Why using the FAST method will help you learn faster
How tuning out helps you engage in deeper learning
How your negative thoughts affect your ability to learn
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Dentist Brain Candy Continuing Education
Email bryanmclelland@hotmail.com
Call (509) 922-2273
I love my work as an oral and maxillofacial surgeon and have no plans to retire anytime soon.
But there’s something freeing about having the option to go into work on Monday—or not. And that’s why I’m an advocate for building wealth with cashflowing real estate.
So, what does it look like to invest in a multifamily deal? How do experienced operators like my friend Chris Salazar add value to a property and earn significant returns for investors?
Chris is Founder and CEO of Archstone Capital Partners, and he’s back on Dentist Brain Candy to break down an investment we did together, a 52-unit multifamily property in Davenport, Iowa.
Chris explains how he found and negotiated the deal on The Row at 35th, describing why the community was a good fit for his value-add program and how renovating the units is attracting his target tenants.
Chris walks us through the projected returns for investors in The Row, discussing how his team will have created $1M in equity in the deal once it’s stabilized.
Listen in to understand the exit strategies Chris has in mind for The Row and learn how YOU can benefit from partnering with a full-time real estate investor like Chris!
How Chris found and negotiated the deal on The Row at 35th
The benefit of partnering with a full-time real estate investor like Chris
Why The Row was a good fit for Chris’ complete value-add program
How renovating the units at The Row is attracting tenants who respect the property and pay on time
The mix of townhomes and apartments at The Row and why there’s less turnover/vacancy at the community
The projected returns for a $100K investment in The Row
How Chris’ team will have created $1M in equity in the deal once it’s stabilized
The potential exit strategies Chris has in mind for The Row
How a 1031 Exchange allows investors defer taxes on capital gains
How having in-house construction and property management teams benefits Chris’ investors
Email csalazar@archstonecp.com
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Dentist Brain Candy Continuing Education
Email bryanmclelland@hotmail.com
Call (509) 922-2273
Are we inadvertently beating people with an ugly stick in the name of better breathing?
On this episode of Dentist Brain Candy, I cover two thought-provoking articles from recent editions of the Journal of Oral and Maxillofacial Surgery, sharing the findings from a study on the impact of MMA surgery for OSA on facial profile esthetics.
I also discuss a paper identifying the trends in work relative value units (or RVUs) among oral and maxillofacial surgeons participating in Medicare from 2013 to 2017.
Listen in to understand why I find the RVU system so frustrating and learn why the free market is a far better way of determining reimbursement rates for a given dental procedure.
How the physician fee schedule based on relative value units or RVUs came to be
Why I find the RVU system incredibly frustrating and offensive
Why so few maxillofacial surgeons participate in the Medicare system
How a recent study uncovered an increase in productivity of OMSs and a decrease in the number of Medicare patients served by OMSs in the period from 2013 to 2017
Why the free market is a far better way of determining reimbursement rates for a given dental procedure than the RVU system
The high success rate of maxillomandibular advancement (MMA) surgery in curing obstructive sleep apnea (OSA)
How a recent study found that MMA surgery for OSA does not have a negative impact on facial profile esthetics
Why I’m an advocate of building wealth through cashflowing real estate
How I earn cashflow from owning a portion of the building my practice occupies
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Email bryanmclelland@hotmail.com
Call (509) 922-2273
Liberty Oral Surgery February Event
Omnibus Budget Reconciliation Act of 1989
That’s why I’m working with Chris Salazar to invest in real estate and create an additional income stream separate from my oral surgery practice.
Chris is the Founder and CEO of Archstone Capital Partners, a vertically integrated real estate investment firm headquartered in Dallas. Chris and his team focus on value-add multifamily properties in the Midwest and Texas, and Archstone currently operates a portfolio of 500 doors.
On this episode of Dentist Brain Candy, Chris joins me to discuss the advantages of investing in multifamily over single family properties and describe how his value-add deals make a positive impact on the community.
Chris walks us through the tax benefits of investing in multifamily and explains why he likes deals in a tertiary market like the Quad Cities.
Listen in to understand how Chris’ conservative underwriting protects investors and learn how real estate can help dentists and oral surgeons achieve our financial goals!
What Chris likes about investing in the Quad Cities market
The advantages of investing in multifamily over single family homes
Chris’ goal to build a 1,000-door portfolio in 2022
How returns differ in primary vs. secondary or tertiary markets
How real estate can help a dentist or oral surgeon achieve their financial goals
The tax benefits of investing in multifamily real estate
How Chris’ value-add deals make a positive impact on the community
What investors should ask about the sponsor, the market and the deal itself
Why Chris’ buy-improve-hold approach generates healthy returns
How Chris’ conservative underwriting protects investors
Email: csalazar@arsenalcp.com
Dentist Brain Candy Continuing Education
Email bryanmclelland@hotmail.com
Limitless: Upgrade Your Brain, Learn Anything Faster and Unlock Your Exceptional Life by Jim Kwik
But in August of 2021, a team at NYU Langone Health performed a face and double hand transplant on Joe. Was the procedure successful? How has his life changed since the surgery?
On this episode of Dentist Brain Candy, I share two journal articles that piqued my interest this week, beginning with the recent Journal of Oral and Maxillofacial Surgery feature on trigeminal neuralgia that describes the symptoms of this long-term facial pain disorder as well as its treatment options.
I go on to discuss the world’s first successful face and double hand transplant surgery, explaining what’s involved in the patient selection process, why 22-year-old Joe DiMeo was a good candidate for the procedure and how he’s doing now.
Listen in for insight into what was involved in the 23-hour face and hand transplant and learn about Dr. Eduardo Rodriguez, the pioneering oral and maxillofacial surgeon who led the surgical team.
The symptoms of long-lasting facial pain disorder trigeminal neuralgia
What causes trigeminal neuralgia and how it’s triggered
The surgical and non-surgical treatment options for trigeminal neuralgia
How Dr. Eduardo Rodriguez led the world’s first successful face and double hand transplant
The team of 140 healthcare professionals who conducted the 23-hour surgery
What made Joe DiMeo a good candidate for the procedure and how he’s doing now
A brief history of human face transplants
The patient selection process for face transplant surgery
Connect with Dr. Bryan McLelland
Dentist Brain Candy Continuing Education
Email bryanmclelland@hotmail.com
Liberty Oral Surgery February Event
Email info@libertysurgerycenter.com
'Trigeminal Neuralgia’ in the Journal of Oral and Maxillofacial Surgery
NYU’s Press Release on the World’s First Successful Face and Double Hand Transplant
Though, when we take the time to continue to stay informed of possible hazards and complications, we can better avoid these possible outcomes.
On this episode of Dentist Brain Candy, I share three interesting articles from the the Journal of Oral & Maxillofacial Surgery, including my experience and judgment regarding each topic.
I explain what cognitive and negative bias is and how to avoid it, my experience with frailty and oral surgeries, and my personal insight on penicillin and allergy evaluations.
Listen in for insight on cognitive bias hazards after operative complications, how to minimize frailty preoperatively through prehabilitation and whether or not penicillin allergy is a risk factor for surgical site infection.
What cognitive and negative cognitive bias is
Positive responses that a surgeon can take regarding a cognitive bias hazard
Cognitive bias tendencies that can occur
Complications to avoid after a complication or an adverse event
Minimizing frailty preoperatively through prehabilitation and improving surgical outcomes
Dr. Bryan’s oral surgery experience with a frail 90 year old patient
Important things to take into account when dealing with a frail patient
A study on penicillin allergy and if it is a risk factor for surgical site infection after oral and maxillofacial surgery
Dr. Bryan’s insight on penicillin allergy and allergy evaluations
Sneak peek of upcoming episode with Chris Salazar, all about using real estate to create other sources of income outside of dentistry and oral surgery
Dentist Brain Candy Continuing Education
Email Bryanmclelland@hotmail.com
Journal of Oral and Maxillofacial Surgery
Cognitive Bias Hazards After an Operative Complication
Minimizing Frailty Preoperatively Through Prehabilitation: Improving Surgical Outcomes
This week we discuss some pretty interesting articles from the Journal of Oral & Maxillofacial Surgery the first one discussing the Akinosi nerve block technique versus the inferior alveolar nerve block technique for beginners to see whether there's an ease in learning and decrease complication rates for beginners. I didn't ask us the use of recombinant human bone morphogenetic protein for use in grafting of the Alveolar cleft. I then proceeded on to discuss where there's a correlation between an impacted mandibular third molar, the type of impaction and mandible fractures and then the type of mandible fractures and believe me when I tell you there is. You're going to have to listen to this episode to find out what that correlation is.
This week in Dental news to abuse will start off by discussing how dental offices can win back lost patience as well we'll talk about a new retraction paste that's made out of a combination of 15% aluminum chloride and kaolin Clay will also discuss a new product available called Moisyn they can help patients with xerostomia or dry mouth. I will also talk about an implant post-operative care system and a handheld intraoral x-ray system and a new water line filter guaranteed to keep your water lines clean and bacteria free.
This week we go over weight loss with jaw fractures and whether or not doing a closed reduction or an open reduction makes a difference in this weight loss. The average patient with a mandibular fracture loses approximately 5% of their body weight but if it made it to the ICU they lose up to 9% of their body weight. We also will discuss obstructive sleep apnea and whether there's an increased incidence of obstructive sleep apnea with a mandibular setback surgery using a vertical ramus osteotomy. We will also discuss the use of dental implants to facilitate jaw surgery in a complex restorative case in an edentulous maxilla.
This week I discussed the latest release and new materials and implant and abutment surface from Nobel Biocare. This includes Xeal and TiUltra.
This week we are going to talk about enhancing your dental teams communication as well as using salivary diagnostics for your dental practice to assist in bacterial identification for Paragon it is as well as caries risk assessment and oral cancer screening. We'll also talk about how you can borrow Ritz-Carlton and their famous Empire for outstanding customer service to up your game in serving your patience.
This week in Dental news to Abuse I discuss changes with coding occlusal night guards and how to bill them and make sure you get reimbursed for these little critters. In addition, I discuss the ins and outs of emailing patient dental records and making sure you protect Patient Healthcare information or PHI. I also discuss six patient retention strategies and how to use social media to find your next hire.
This week I discussed two interesting articles the first one is a discussion about the use of topical benzocaine and that's 20% benzocaine gel in the maxilla and specific of the anterior maxilla to decrease pain of injection and entry of the needle and deposition of the fluid as well I discuss hereditary angioedema for oral surgery patients which is the spontaneous facial swelling data can occur because of this rare genetic disease.
This week I have some dental news for you including what the US Congress has been up to in regards to dental bills what the projected size of the dental implant Market is by 2028 a little chit chat about an electronic syringe called dental pain as well as a new line of products for dry mouth and xerostomia how to wrap things out 4 little tips on ways of finding hidden costs and stemming the tide increasing your profitability.
In this episode I discussed three interesting articles the first article discusses the quality of life of patients with jaw and facial deformities before and after jaw surgery and the notable unremarkable quality of life improvements from both a psychological and functional component. I also discuss whether antiplatelet drugs need to be stopped and whether the increase the risk of bleeding after dental implant surgery and a very good crossover study supporting the conclusions of this and I talked about spiking your local anesthetic with dexmedetomidone in an attempt to increase the onset of action the total length of duration and improve the properties of lidocaine local anaesthetic
In this episode, I discuss the increasing use of the Intensive Care Unit for a. Digenic infections over the last decade in Australia. I also discuss the conservative treatment of medication-related osteonecrosis of the Jaws and the success rates and spontaneous resolution of this process that you can expect from this modality and this treatment course. I also discussed the use of a C-Arm intraoperatively vs CT scans for complex facial fractures.
In this episode, I start by discussing the periodontal stability on the distal of the mandibular second molar after a coronectomy on mandibular third molars. This is a three-year study and over the last several years the popularity of a coronectomy for high-risk third molar situations with close proximity to the inferior alveolar nerve begs the question as to success and possible risks. This study aims to discuss whether or not there is peridontal pocketing on the distal of the second molar when you leave the roots behind with the extraction of third molars. I also discuss the use of intravenous ibuprofen versus intravenous Tylenol to reduce postoperative pain and narcotic consumption after third molar surgery. You don't want to miss this episode and I think you'll find it very useful and applicable to everyday practice.
This week I discuss navigation vs lab guides vs free hand implant bbn placment accuracy, medications to consider avoiding in those 65 years old or more and whether clone abutments are the same as branded parts in a lab.
This week I go through an article from the Journal of Oral & Maxillofacial Surgery written by Bryan Bell that discusses the history of jaw surgery. Orthognathic surgery has an interesting progression through time that any dentist or surgeon should know about and will find well summarized in this podcast.
In this episode, I discussed an article titled office-based sedation and general anesthesia for COPD patients part 1. This is a good review of COPD it's pathophysiology its epidemiology and issues with IV sedation and general anesthesia with Dental patients.
This week I discuss the need for all of us to call Google at 1-844-491-9665 to get them to add the category of “dental implants” instead of the only option being “dental implants periodontist”. I also discuss how our National Association will help with an application for the American College of Surgeons fellowship and the requirements for that. I also discuss the changes in the American Board of Oral & Maxillofacial Surgery certification process and for maintenance of that board certification which is profound and significant. I also discuss the significant impact that vaping has on healing and the rationale and study that helps prove that healing from vaping and cigarette smoking are equivalent. This is an action-packed episode full of interesting information that you must check out!
In this episode, I start with a discussion about low-level laser light therapy and helping nerve recovery after a bilateral sagittal split osteotomy. There is a significant risk of permanent numbness after jaw surgery particularly lower jaw surgery and this study looks at a novel therapy of low-level laser light therapy to see if recovery can be optimized for patients I also discuss the fact that the impacted third molars can damage and cause external root resorption of mandibular second molars and what those risk factors are. I also discuss the incidence of this occurring in the study. Finally, in this episode, I discuss the psychological impact of doing surgery first for patients with Orthodontics jaw surgery versus the conventional way.